Soysal Melda, Kara Bilge, Arda M Nuri
Dokuz Eylul University, School of Physical Therapy and Rehabilitation, Department of Physical Therapy, Inciralti, Izmir, Turkey.
Turk Neurosurg. 2013;23(1):75-80. doi: 10.5137/1019-5149.JTN.6885-12.0.
To investigate physical activity level in patients with chronic low back and neck pain.
32 preoperative patients, 32 outpatients with low back or neck pain and 32 healthy controls were included in study. The physical activity level of the participants was evaluated with the International Physical Activity Questionnaire. The Oswestry Disability Index and Neck Pain Disability Index, Short Form-36, Pittsburgh Sleep Quality Index and Beck Depression Inventory were used for assessment of disability, quality of life, sleep quality and depression.
Statistical significant differences was found in disability, sleep quality, depression, physical activity level and quality of life scores between three groups (p < 0.05). All scores of preoperative patients were significantly lower than outpatients except sleep parameter (p < 0.05). Sleep quality, disability and depression scores of patients with chronic neck pain were significantly lower and physical activity level and quality of life scores were significantly higher than patients' with chronic low back pain (p < 0.05).
Physical activity modification was found in patients with chronic low back and neck pain. Physical activity level, disability, sleep, depression and quality of life scores of preoperative patients with low back pain more affected than neck patients.
调查慢性腰颈痛患者的身体活动水平。
本研究纳入32例术前患者、32例腰颈痛门诊患者和32例健康对照者。采用国际身体活动问卷评估参与者的身体活动水平。使用奥斯威斯利残疾指数和颈痛残疾指数、简明健康调查问卷36项、匹兹堡睡眠质量指数和贝克抑郁量表评估残疾、生活质量、睡眠质量和抑郁情况。
三组在残疾、睡眠质量、抑郁、身体活动水平和生活质量评分方面存在统计学显著差异(p<0.05)。除睡眠参数外,术前患者的所有评分均显著低于门诊患者(p<0.05)。慢性颈痛患者的睡眠质量、残疾和抑郁评分显著低于慢性腰痛患者,而身体活动水平和生活质量评分显著高于慢性腰痛患者(p<0.05)。
慢性腰颈痛患者存在身体活动改变。与颈部患者相比,术前腰痛患者的身体活动水平、残疾、睡眠、抑郁和生活质量评分受影响更大。